Effectiveness of M-Tapa Block for Postoperative Analgesia Management in Patients Underwent Laparoscopic Cholesistectomy
Overview
- Phase
- Not Applicable
- Intervention
- M TAPA block
- Conditions
- Cholecystitis
- Sponsor
- Medipol University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Postoperative pain scores (Numerical Ratin Scala; 0=no pain, 10=the worst pain felt)
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Modified Perichondral Approach Thoracoabdominal Nerve (M-TAPA) block is a novel block that provides effective analgesia of the anterior and lateral thoracoabdominal walls during laparoscopic surgery, in which local anesthetic is applied only to the lower side of the perichondral surface. M-TAPA block is a good alternative for analgesia of the upper dermatome levels and the abdominal lateral wall, and may be an opioid-sparing strategy with satisfactory quality improvement in patients undergoing laparoscopic surgery.
Detailed Description
Modified Perichondral Approach Thoracoabdominal Nerve (M-TAPA) block is a novel block that provides effective analgesia of the anterior and lateral thoracoabdominal walls during laparoscopic surgery, in which local anesthetic is applied only to the lower side of the perichondral surface. M-TAPA block is a good alternative for analgesia of the upper dermatome levels and the abdominal lateral wall, and may be an opioid-sparing strategy with satisfactory quality improvement in patients undergoing laparoscopic surgery. M-TAPA block provides analgesia at the level of T5-T11 in the abdominal region. Sonoanatomy is easy to visualize and the spread of local anesthetic can be easily seen. Analgesia occurs in several dermatomes thanks to the cephalocaudal spread of the local anesthetic solution. There are studies in the literature investigating the effectiveness of M-TAPA block for post-operative pain management in bariatric surgery. In this study, the investigators aimed to evaluate the effectiveness of M-TAPA block for postoperative analgesia management after laparoscopic cholecystectomy surgery.Primary aim is to compare the postoperative pain scores (VAS), and secondary aim is to compare the postoperative rescue analgesic use and postoperative opioid consumption, and the side effects (allergic reaction, nausea, vomiting) associated with opioid use.
Investigators
Bahadir Ciftci
Principal Investigator
Medipol University
Eligibility Criteria
Inclusion Criteria
- •American Society of Anesthesiologists (ASA) classification I-II
- •Scheduled for laparoscopic cholesistectomy surgery under general anesthesia
Exclusion Criteria
- •Bleeding diathesis
- •Receiving anticoagulant treatment
- •Known local anesthetics and opioid allergy
- •Infection of the skin at the site of the needle puncture
- •Pregnancy or lactation
- •Patients who do not accept the procedure
Arms & Interventions
Group M = M-TAPA group
Patients will be administered ibuprofen 400 mgr IV every 8 hours in the postoperative period. Postoperative patient evaluation will be performed by a pain nurse blinded to the procedure. 100 mg tramadol will be performed for rescue analgesia.
Intervention: M TAPA block
Outcomes
Primary Outcomes
Postoperative pain scores (Numerical Ratin Scala; 0=no pain, 10=the worst pain felt)
Time Frame: Postoperative 24 hours period
Change from Baseline Pain Scores at Postoperative 24 hours.
Secondary Outcomes
- The need for rescue analgesia(Postoperative 24 hours period)